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9712-130 (SFD)
LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License # Lic. Class Exp. Date • ate // '' Signature of Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business & Professionals Code). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). ( ) I am exempt under Section B&P.C. for this reason Date Signature of Owner WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ( ) I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ( ) I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier & policy no. are: Carrier Policy No. VOLDEN EAGLE: INS. NWC421992W (This section need not be completed if the permit valuation is for $100.00 or less). ( ) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions_ Date f Applicant _ Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the above-mentioned property for inspection purposes. S�ipature (Owner/Agent) ""-- Date BUILDINGPERMIT PERMIT# CONTROL# DATE VALUATION LOT 1712-130 TRACT 6554 . $12,863.95 12 [3 .2 VLQ2 JOB SITE _TPN ADDRESS 51-560 AVENIDA RUR10 773-122-001 OWNER CONTRACTOR/DESIGNER/ENGINEER r.SEQUIF.L i11 ICORONE L CORONEL CONST' UCT[ON PO BOX ;89 P.0 BOX 389 LA QUINTA CA 92253 LA QUINTA CA 92253 (760)564-4604 CRL4 2261 USE OF PERMIT SRi7 SM - PF.RW T ExXiS NOT INCLUM- BLOCK WALLS OR P(.x)[.. '1'f2.wr Ct7N5`rRuCTION 1,490.00 SF P RCH(PATIO 36,00 SF t'lARAGOC,ARPORT %4.40 SF 63LC-Cf{ WALL (HTILF) 324.75 6 Fr. W4`10U PENCE 150.00 LF WNTINIATE1) COST OF CONK 1'RUC"110N 92,863.95 PERMIT FEE SUMMARY wvw— 4:1. CONSTRUCTION M 141-004-419-000 W8.04 PLAN CMF.WK FEE 101.04043!3.318 5511.E NfF/.'KANICAL FEE 101.-000-421-000 $47,00 F h1ACTRIC M, FF 101-+DN420-000 $123,73 Z PLIAIRING FEE 101-=)-419-M $133.50 00 C" STRONG h10TION FEE - REHM 101 -444.241 -WO $9.21 � M GRADING FF.E 101-040-423-000 524,00� oo � iNFRASTRUCTURh 1788 ??:x-000--113.342 $2,042.67 C%7 PRECISH PLAN 1 4 1-11411-•116-3.11 $250) LL CX CX 0 O 1'iii D0110SIT -5250.00 '� F_ U SUIS-10TAL.CONSMUCTION AND PIAN CI4r-. K 4;z,s ' •+' LF -SS PRE -PAID FLES TOTAT, PERMIT FEES DUE NOW r .$13,272.47 RECEIPT DATE BY ( DATE FINALED INSPECTOR i INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs 9&J-0-4 7 47 Underground Ducts Forms & Footings Ducts Slab Grade Return Air Step Combustion Air (Roof Deck Exhaust Fans p F.A.U. g CG % Compressor on Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Pa II xterior Lath - nt. La h / Final Final BLOCKWALL APPROVA S POOLS - SPAS steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final I I Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines 0 Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) COMMENTS: X P.O. BOX 1504 APPLICATION ONLY Building ��,(� / 7&105 CALLE ESTADO Address /� U J/ U LA QUINTA, CALIFORNIA 92253 Owner /,00116 AI C_� BUILDING: TYPE CONST. OCC. GRP. Mailin9.� 2 Address �(�' f� /� A.P. Number �73 Z Z G City Zip Tel. j . 4'. ,z I s S Contractor Address City Zip Tel. 722'S3 SGS y�o� State Ljc./ 3� ��/ City 8� 7 Classif. [� Lic. # Arch., Engr., Designer Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division -3 of the Business and Professions Code, and my license i ,in full force and effect. j! �T«.. 77/Z Z / / 7 SIGNATURE"' I DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5.Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Caw, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 1] I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) I 1 I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) 1-1 1 am exempt under Sec. B. 8 P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company 17 Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of thg work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that 1 have read this application and state that the above information is correct. Iagree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city to enter the above- mentioned property for inspection purposes. Signature of applicant -Date- Mailing ateMailing Address City, State, Zip BUILDING DIVISION Legal Description�- Project Description 5 / Sq. Ft. No. NoDw. Size %y �o Stories Units New C7�� Add ❑ Alter ❑ Repair ❑ Demolition ❑ PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS V ZONE: BY: Minimum Setback Distances: ' Front Setback from Center Line Rear Setback from"Rear Prop. Line Side Street Setback from Center Line t�rom Property Line FINAL DATE INSPECTOR Issued by:tD189�_Permit Validated by: T�/ OF LA 01JIN Validation: .; I t ti r �+ i CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. $ 2ND FL. SO. FT. @ POR. SO. FT. O GAR. SO. FT. CAR P. SO. FT, WALL SO. FT. SO. FT. @ ESTIMATED CONSTRUCTION VALUATION S UNITS M001LEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEOUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE KITCHEN SINK ABSORPTION SYSTEM. B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ®c BATH TUB SO. FT. © c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID I 1 c SEWAGE DISPOSAL SO.FT.GAR 3/ec HOUSE SEWER REMARKS: VENTILATION GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL InJYtI:I V M J WUNA 1 UAC.Y1n11 VALD GARDEN WALL FINAL Desert Sands Unified School District Notice: 82-879 Highway 111 Document Cannot Be Duplicated Indio, CA 92201 619-775-3500 CERTIFICATE OF COMPLIANCE Date 1/28/98 No. 16579 Owner Name Esequiel M Coronel No. 51560 Street Avenida Rubio City La Quinta Tract # APN # .773-122-001 Jurisdiction La Quints zip 92253 Lot # 12 Square Footage Type of Development Single Family Residence Comments Permit # Log # Study Area 1490 No. of Units 1 At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered -patios/;walkways, residential additions under 500 square feet, detached accessory structures or replacement mobilehomes. It has been determined the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 1.84 X 1,490 or $ 2,741.60 the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued is Fees Paid B ccNalle Independent Bank/Coronel Construction Tel By Y P Telephone 0564-4604 Name on the check r f. By Dr. Doris Wilsonr f/� pyyy V W I Superintendent �- W� Z' V u Fee collected /exempted by Pauline Pearson Payment Receivedi, � ""$2,741" 60p Check No. 159709 Signature pa Q��P�O_Zc�� 40TICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified ibove will begin to run from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to �Ilect them on the Districl('s)(s') behalf, whichever is earlier. Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting REAL ESTATE PURCHASE CONTRACT AND RECEIPT FOR DEPOSIT ,', ' `' =7 `, THIS IS MORE THAN A RECEIPT FOR MONEY. IT IS INTENDED TO BE A LEGALLY BINDING CONTRACT. READ IT CAREFULLY. CALIFORNIA ASSOCIATION OF REALTORS° (C.A.R.) STANDARD FORM (FOR USE WITH SINGLE, FAMILY RESIDENTIAL PROPERTY—ATTACHED OR DETACHED) ` ,. ' 1 DATE: 12.111 R .11 997 19 at LO California RECEIVED FROM("Buyer' A DEPOSIT OFtte _ _ Dollars $ TOWARD THE PURCHASE PRICE OFone , . a h i t• - Dollars $ FOR PURCHASE OF PROPERTY SITUATED IN L'' COUNTY OF R S Californiz DESCRIBED AS L2P*T R '1 l -rM r ^ r »1 anc nn- 1 nt 773-1 22-001 1 n'- 1 2 1 1 I: 27 .dNif'Z- ("Property" 1. FINANCING: THE OBTAINING OF THE LOANS BELOW IS A CONTINGENCY OF THIS AGREEMENT. Buyer shall act diligenNy and in good faith to obtai the designated loans. Ave. P u b i O A. LOAN CONTINGENCY shall remain in effect until: (Check only ONE of the following:) UXI) The designated loans are funded and/or the assumption of existing financing is approved by lender and completed. OR ❑ (2) days from acceptance of the offer, by which time Buyer shall give to Seller written notice of Buyer's election to cancel this Agreement becaus of Buyer's inability to obtain the designated loans, or obtain approval of assumption of existing financing. If Buyer does not give Seller such notice the contingency of obtaining the designated loans shall be removed by the method specified in paragraph 28. B. BUYER'S DEPOSIT....................................................................................... $ 11000.0( PAYABLE TO shall be deposited OCWith Escrow Holder, ❑ into Broker's trust account, or ❑ by Personal Check, (or, if checked:) ❑ Cashier's Check, ❑ Cash, or ❑ TO BE HELD UNCASHED UNTIL the next business day after acceptance of the offer, or ❑ C. INCREASED DEPOSIT..................................................................................... $ within days from acceptance of the offer, shall be deposited ❑ with Escrow Holder, ❑ into Broker's trust account, or ❑ D. BALANCE OF DOWN PAYMENT............................................................................ $ to be deposited with Escrow Holder within sufficient time -to close escrow. E. FIRST LOAN IN THE AMOUNT OF........................................................................... $ MAX Feil b)B NEW First Deed of Trust in favor of EkLENDER, ❑ SELLER; or ❑ ASSUMPTION of Existing First Deed of Trust; encumbering the Property, securing a note payable at approximately $ 1 1 1 1 0i ter month, at maximum interest of % fixed rate, or % �initial adjustable rate with a maximum lifetime interest rate cap of b_%, balance due in 3 O years. Buyer shall pay loan fees/points not to exceed F. SECOND LOAN IN THE AMOUNT OF........................................................................ $ ❑ NEW Second Deed of Trust in favor of ❑ LENDER, ❑ SELLER; or '❑ ASSUMPTION of Existing Second Deed of Trust; encumbering the Property, securing a note payable at approximately $ per month, at maximum interest of °rb fixed rate, or % initial adjustable rate with a maximum lifetime interest rate cap of %, balance due in years: Buyer shall pay loan fees/points not to exceed G. ADDITIONAL FINANCING TERMS: $1,000.00 to be biL't>i3easeJ non-refundable My liv ren to extende& 3' inffronfi 1 C_r i Q 1 t3 i 9 , H. TOTAL PURCHASE PRICE, not including costs of obtaining loans and other closing costs ............................... $� 3 9 ► O.O O . I. OBTAINING DEPOSIT, DOWN PAYMENT, and OTHER CLOSING COSTS by Buyer is NOT a contingency, unless otherwise agreed in writing. J. FHA/VA FINANCING: ❑ (If checked:) (1) Seller shall pay % of loan as discount points. (2) Seller shall pay other fees which Buyer is not permitted to pay, not to exceed $ , (3) Seller shall pay the cost of repairs required by lender, not otherwise provided for in this Agreement, riot to exceed $ —c (4) All other charges to obtain financing shall be paid by Buyer unless otherwise agreed in writing. (5) OTHER: K. IF THIS IS AN ALL CASH OFFER, Buyer shall, within 5 (or ❑ —)days from acceptance, provide to Seller written verification of sufficient funds to cl, this transaction. Seller may cancel this Agreement in writing within 5 (or ❑ —)days (1) after receipt of the verification, if Seller disapproves it, or after the time to provide the verification expires, if Buyer fails to provide it. L. LOAN APPLICATIONS; PREQUALIFICATION: (1) For NEW and ASSUMED lender financing: Within 10 (or ❑ ) days from acceptance, Buyer shall provide to Seller a letter from lender stat that, based on a review of Buyer's written application and credit report, Buyer is prequalified for the NEW and/or ASSUMED loans indicated abe If Buyer fails to provide such letter within that time, Seller may cancel this Agreement in writing. rte% c... eri i co .,.,.,....i....•. %Afithin 6; a,r F-1 t rima after acrantance (a) Buver shall submit to Seller a completed loan applicatio+, c 27 November 2007 The City of La Quinta Department of Building and Safety 78.495 Calle Tampico La Quinta, CA 92253 Project: The Single Family Residence Alterations for. Ben Gilmore at: 751-560 Avenida Rubio La Quinta, California Regarding: Project Observation I am the Structural Designer of Record for the Project noted above. LAND Architecture, Interiors, Space and Land Planning Structural Calculations I have made a code mandated project observation visit and directed several retro -fit anchor bolts be installed using 5/8" x 6" red -head bolts to resist base shear forces only (no uplift forces). This has been accomplished to my satisfaction. Beyond this, I observed the structural construction to be in substantial conformance with the structural design intent exhibited in the record structural construction documents Therefore, I hereby state that code required construction observations have been performed, the work is in substantial conformance with the structural design intent and the project is ready for final framing inspection and wrap. If you have auestions or comments regarding this issue or any other issue please do not hesitate in contacting my ARQ1 harie Garland Architect 0 go, is 10/31/2009 pcP DATE sT� OF 74-854 Velie Way, Suite 5 ❑ Palm Desert, CA 92260 o Phone: (760) 340-3528 o Facsimile: (760) 340-3728 Certificate of Occupancy City of La. Quinta Building and Safety Department OF� °`44 This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code, certifying that, at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building construction or, use. For the following: BUILDING ADDRESS: 51=560 AVENIDA RUBIO Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 9712-130 Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RC Owner of Building: ESEQUIEL M CORONEL Building Official Address: PO BOX 389 City: LA QUINTA, CA., 92253 By: DANIEL P. ,CRAWFORD JR. Date: 5/5/98 POST IN A CONSPICUOUS PLACE